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DR. DERRICK MARTIN MD
NPI 1417576208
Internal Medicine in Clovis, CA

Active since April 11, 2020PECOS Enrolled
313 W SHAW AVE, CLOVIS, CA 93612(800) 492-4227 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, Apr 11, 2020 (2 updates tracked since 2020).

About Dr. Derrick Martin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERRICK MARTIN MD (NPI 1417576208) is an individual internal medicine provider in Clovis, California, licensed in California (A183588) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1417576208
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DERRICK MARTINCredential: MD
Location Address313 W SHAW AVEClovis, CA 93612-3685
Mailing Address313 W Shaw AveClovis, CA 93612-3685
Phone(800) 492-4227
Sole ProprietorNo
Enumeration DateApril 11, 2020
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1417576208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A183588
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
313 W SHAW AVE, Clovis, CA 93612
Open in Google Maps ↗

Secondary Practice Location 1

Location 11313 E Herndon AveFresno, CA 93720-3306 · Phone (559) 450-5375

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derrick Martin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK ANTHONY GOMEZ
Nurse Practitioner (Family)
313 W SHAW AVE
CLOVIS, CA 93612
Fresno County (800) 492-4227
DR. JOCELYN ANN MIZUNAKA MD
Family Medicine
313 W SHAW AVE
CLOVIS, CA 93612
Fresno County (559) 712-7500
CHASE EDWARD LANCASTER DO
Family Medicine
313 W SHAW AVE
FRESNO, CA 93612
Fresno County (800) 492-4227
TINA B. GULBRONSEN FNP-C
Nurse Practitioner (Primary Care)
313 W SHAW AVE
CLOVIS, CA 93612
Fresno County (800) 492-4227
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Clinic/Center (Federally Qualified Health Center (FQHC))
313 W SHAW AVE
CLOVIS, CA 93612
Fresno County (559) 646-6618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Martin's NPI number?

The NPI number for Derrick Martin is 1417576208. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Derrick Martin located?

Derrick Martin practices at 313 W Shaw Ave, Clovis, CA 93612. The listed phone number is (800) 492-4227.

What is Derrick Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derrick Martin enrolled in Medicare?

Yes. Derrick Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derrick Martin was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.